Digital Reproductions Request Form

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Name (please print)

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Telephone Fax

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Address/City/State/ZIP

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Email address

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Organization (if applicable)

Description DPI and Format Fee

Publication quality (600 dpi tiff on CD): $15.00

Permissions fee: $10.00

Email quality (300 dpi jpeg in standard): negotiable

Shipping: $2.00

Price list subject to change without notification

These digital reproductions are to be used for:

[ ] Research, [ ] Personal, [ ] Exhibit, [ ] Publication, [ ] Other.

Archival materials may be subject to copyright. The applicant is responsible for clearing reproduction rights and for any infringement of the United States copyright law.

The University Archives retains the rights of reproductions, publication, and all commercial uses of these materials.

Reproductions, in any format, without permission are prohibited.

Items from the University Archives may not be copied, scanned, exhibited, resold, or placed on deposit with any other archive, museum, repository or library without prior approval.

I understand that if I wish to commercially use, reproduce, or display items from Special Collections, I must submit an Application for Permission to Publish, Broadcast or Exhibit form with appropriate use fee(s).

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Signature Date